Organization
SUMMIT DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI JUNE KOBAKOF (MANAGER)
(727) 501-2280
Entity
Organization
Contact information
Practice address
3604 CATHEDRAL LAKE DR, FRISCO, TX 75034-3808
(727) 501-2280
Mailing address
3604 CATHEDRAL LAKE DR, FRISCO, TX 75034-3808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/26/2017
Last updated
01/10/2018
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